3'-END BLOCKED OLIGONUCLEOTIDES BACKGROUND OF THE INVENTION
Field of the Invention
The invention relates to antisense oligonucleotide therapy. More particularly, the invention relates to the production of oligonucleotides suitable for in vivo therapeutic use, and to the use of such oligonucleotides in therapeutic treatment of human disease. Summary of the Related Art
The use of an antisense oligonucleotide approach for the treatment of human disease is a promising development in the fields of medicine related to antiviral therapy and therapy for genetic disorders.
In the last several years, it has been demonstrated that oligonucleotides are capable of inhibiting the replication of certain viruses in tissue culture systems.
Zamecnik and Stephenson, Proc. Natl. Acad. Sci. U.S.A. 75: 280-284 (1978), first showed oligonucleotide-mediated inhibition of virus replication in tissue culture, using Rous Sarcoma Virus. Zamecnik et al., Proc. Natl. Acad. Sci. U.S.A. 83: 4143-4146 (1986), demonstrates inhibition in tissue culture of the HTLV-III virus (now called HIV-1) associated with AIDS.
More recently, it has been shown that modified oligonucleotides, having altered internucleoside linkages, provide greater efficacy in virus inhibition in in vitro tissue culture systems.
Agrawal et al., Proc. Natl. Acad. Sci. U.S.A. 85: 7079-7083 (1988), teaches inhibition in tissue culture of HIV-I with increased efficacy, using oligonucleoside phosphoramidates and phosphorothioates.
Sarin et al., Proc. Natl. Acad. Sci. U.S.A. 85: 7448-7451 (1988), teaches inhibition in tissue culture of HIV-1 with increased efficacy, using oligonucleoside methylphosphonates.
Agrawal et al., Proc. Natl. Acad. Sci. U.S.A. 86: 7790-7794 (1989) teaches nucleotide sequence specific inhibition of HIV-1 in both early- infected and chronically infected cell cultures, using oligonucleotide phosphorothioates.
Leiter et al., Proc. Natl. Acad. Sci. U.S.A. 87; 3430-3434 (1990), teaches inhibition in tissue culture of influenza virus replication by oligonucleotide phosphorothioates.
In addition, oligonucleotides have been used to modulate normal cellular processes, suggesting a potential use in the treatment of genetic disorders.
Goodchild et al., Arch. Biochem. Biophys.264: 401-409 (1988), teaches inhibition of rabbit ^-globin synthesis by oligonucleotides in a cell-free system.
Temsamani et al., Journal of Biological Chemistry (USA) 266: 468-472 (1991), teaches inhibition of spliceosome assembly by oligonucleoside methylphosphonates. The inhibition of viruses and modulation of normal cellular processes indicates some promise for the use of an antisense oligonucleotide approach for the treatment of viral disease and genetic disorders. However, antisense oligonucleotide therapy depends upon the in vivo specificity and efficacy of oligonucleotides, both of which are related to oligonucleotide length, base composition and hybridization properties. Thus, if oligonucleotides are rapidly degraded in vivo to produce shorter degradation products, decreased efficacy may result, and the loss of specificity could lead to toxic side effects. Consequently, concerns arise about developing oligonucleotides that are resistant to degradation in vivo. Oligonucleotides having modified internucleoside linkages have been used by the previously-cited investigators toward this end.
Agrawal and Sarin, Advanced Drug Delivery Reviews, Elsevier Press, in press (1990), teaches that unmodified oligonucleotides are poor inhibitors of virus replication relative to modified (resistant) oligonucleotides. Shaw et al., Nucleic Acids Res. 19.: 747-750 (1991), teaches that otherwise unmodified oligonucleotides become more resistant to nucleases in vitro when they are blocked at the 3' end by certain capping structures and that uncapped oligonucleoside phosphorothioates also are not degraded in vitro. Unfortunately, virtually nothing is known about the stability or biodistrϊbution of modified or unmodified oligonucleotides in vivo, which is particularly relevant if oligonucleotides are to be used for human therapy. Since in vitro models cannot be made to predict the stability and bioavailability of oligonucleotides in vivo, there is a need for systems that can directly provide such information. Moreover, if such in vivo data shows that existing oligonucleotides are not sufficiently stable, there will be a need for oligonucleotides that can resist the degradative influences of intrinsic
enzymatic activities in vivo. Ideally, structural motifs associated with increased stability in vivo should be identified, and in vivo systems should be developed which allow simple and convenient comparisons for the optimization of in vivo stability.
BRIEF DESCRIPTION OF THE DRAWINGS Figure 1. Structure of oligonucleotides used in Examples 1-7. Figure 2. Examples of 3'-hydroxyl cap structures useful in forming the oligonucleotides of the present invention. R = an organic group, e.g.. alkyl, aryl, cyclic, cholesteryl, etc.; X = O, S, Se or NHR; Y = O, S, Se or NHR;
Z = O, S, or NH; and B = purine or pyrimidine base.
Figure 3. Comparative stability of uncapped, 5'-capped, 3'-capped and 3\5'-capped oligonucleoside phosphorothioate in monkey serum. Oligonucleotides were incubated in monkey serum at 37°C and at time points (shown above the lanes in hour), aliquots were withdrawn, extracted and analyzed on gel electrophoresis. In lane 6 hr. from 5'-capped, most of the incubation mixture was lost during handling.
Figure 4. Stability of oligonucleoside phosphorothioate in urine, collected from the mice receiving 30 mg/kg of oligonucleotide intravenously. The urine was collected up to 24 hour post-dosing, extracted and analyzed by gel electrophoresis. The lanes under control are oligonucleotides before administration and lanes under urine (0-24 hours) are oligonucleotides recovered from urine. Diffused band of 3'.-capped oligonucleotide is due to the low specific activity (Table 1). Figure 5. Status of the oligonucleoside phosphorothioate in mice kidney after 24 hour post-dosing intravenously. The lanes shown control are oligonucleoside before administration and lanes under kidney (24 hours) are the oligonucleoside extracted from kidney.
Figure 6. Gel electrophoresis of oligonucleoside phosphorothioate extracted from the liver after 24 hours post-dosing in mice, intravenously.
The lanes under control are oligonucleoside phosphorothioate before administration and lanes under liver (24 hours) are oligonucleoside phosphorothioate extracted from liver.
BRIEF SUMMARY OF THE INVENTION
The invention relates to oligonucleotides that are useful in antisense oligonucleotide-based therapeutic approaches. More particularly the invention relates to oligonucleotides that have sufficient specificity and efficacy in vivo to be useful in therapeutic treatment of human disease. The invention provides oligonucleotides that possess greater in vivo specificity and efficacy than oligonucleotides known in the art. The greater specificity and efficacy of oligonucleotides according to the invention arises from their inherent resistance to exonucleolytic digestion by intrinsic nucleases. This resistance is the product of two structural features of oligonucleotides according to the invention: (1) the presence of one or more artificial internucleoside linkage and (2) the presence of a particular cap structure at the 3' end of the molecule.
For the first time, the invention provides in vivo pharmacokinetic information about modified and unmodified oligonucleotides. This information cannot be extrapolated from in vitro results, and indeed surprising differences are observed between in vivo and in vitro results. The invention provides such information through the use of a convenient method for assessing whether any given oligonucleotide has the resistance to nucleolytic degradation necessary to provide it with the specificity and efficacy required to use as an antisense oligonucleotide in a therapeutic approach to the treatment of human disease. This method uses a mouse model to assess resistance of a radiolabelled oligonucleotide to in vivo nucleases by examining the status of oligonucleotides present in urine and homogenized tissues of organs. The method also allows assessment of bioavailability of oligonucleotides by measuring the oligonucleotide content of various organs. By using the method of the invention, one skilled in the art can readily determine whether any oligonucleotide having the structural features of oligonucleotides according to the invention also is resistant to nucleolytic degradation in vivo. This method allows the skilled artisan to make such assessments by protocol, without undue experimentation.
DETAILED DESCRIPTION OF THE SPECIFIC EMBODIMENTS
In a first aspect the invention provides oligonucleotides that are resistant in vivo to both degradation and extension by intrinsic enzymatic activities. These oligonucleotides according to the invention have greater specificity and increased half-life, relative to existing oligonucleotides. Such oligonucleotides are well-suited for use in the treatment of virus infections or disorders of gene expression. Virus infections include infections by DNA, RNA, and retroviruses. Disorders of gene expression include inherited genetic defects and disorders resulting from abnormal gene expression, or from expression of abnormal genes, e.g.. oncogene expression associated with neoplasia.
The therapeutic approach using antisense oligonucleotides is based on the principle that an appropriate length of oligonucleotide complementary to the target can disrupt the function of the target, which could be a viral or cellular gene. The specificity of antisense oligonucleotides results from the formation of Watson-Crick base pairing between the heterocyclic bases on the oligonucleotide and complementary bases on the target nucleic acid. A nucleotide sequence of 16 nucleotides in length will be expected to occur randomly at about every 416 or 4xl09 nucleotides. Thus such a sequence might be expected to occur only once in the human genome. In contrast, a nucleotide sequence of 10 nucleotides in length would occur randomly at about every 410 or lxlO6 nucleotides. Thus such a sequence might be present thousands of times in the human genome. Consequently, oligonucleotides of greater length are more specific than oligonucleotides of lesser length and are less likely to lead to any toxic complications that might result from nonspecific hybridization. In addition, longer oligonucleotides show greater inhibitory effects upon HIV in tissue culture, within certain limits (i.e.. 25- mer > 20-mer > 15-mer > 10-mer). Thus oligonucleotide length should exceed certain limits for purposes of specificity and effectiveness. In vivo degradation of oligonucleotides produces oligonucleotide breakdown products of reduced length. Such breakdown products are more likely to engage in non-specific hybridization and are less likely to be effective, relative to their full-length counterparts. Thus, it is desirable to produce oligonucleotides that are resistant to degradation in the body. Preferably, such oligonucleotides should be bioavailable to the various organs and tissues of the body as well. Oligonucleotides according to the invention resist degradation by intrinsic nucleolytic activities and are bioavailable to
many organs and tissues. Thus in this aspect, the invention provides oligonucleotides that are well suited to act effectively and specifically in antisense oligonucleotide therapeutic approaches. In addition, in vivo metabolism of oligonucleotides results in extension of oligonucleotides in certain tissues, including at least liver, kidney, small intestine and large intestine. This can lead to reduced bioavailability of particular oligonucleotides and can lead to reduced specificity and to potentially mutagenic side effects.
Oligonucleotides according to the invention are resistant to both in vivo degradation and extension due to two structural features. The first feature is the presence of one or more internal artificial internucleoside linkages. Examples of such linkages that may be substituted for phosphodiester linkages include phosphorothioates, methylphosphonates, sulfone, sulfate, ketyl, phosphorodithioates, various phosphoramidates, phosphate esters, bridged phosphorothioates and bridged phosphoramidates.
Such examples are illustrative, rather than limiting, since other internucleoside linkages are known in the art. See, e.g.. Cohen, Trends in Biotechnology, (1990). The synthesis of oligonucleotides having one or more of these substituted for phosphodiester internucleoside linkages is well known in the art, which includes synthetic pathways for the production of oligonucleotides having mixed internucleoside linkages. The second feature of oligonucleotides according to the invention is the presence of a cap structure at the 3'-OH of the molecule. This cap blocks access to the 3' hydroxyl functional group, thus rendering the molecule more resistant to both extension 3' exonucleolytic activity, which is the primary intrinsic mediator of in vivo oligonucleotide degradation. Cap structures according to the invention include N-Fmoc-O'-DMTr-3-amino-l,2-propanediol, as well as the structures shown in Figure 2. Such examples are merely illustrative, however, since many blocking groups are known in the art and those skilled in the art will recognize how to attach such groups to the 3' end of the oligonucleotide. Thus, for purposes of the invention, a cap structure is construed to encompass any blocking group that restricts access to the 3' hydroxyl of an oligonucleotide, thereby rendering the oligonucleotide resistant to in vivo degradation or extension. For purposes of the invention, an oligonucleotide is considered to be rendered resistant to in vivo degradation if its in vivo half life is longer than that of an oligonucleotide having all phosphodiester internucleoside linkages, but otherwise being of
identical length and sequence. Preferably, the resistant oligonucleotide will have an in vivo half life that is longer than that of an uncapped oligonucleoside phosphorothioate of identical length and sequence.
In a second aspect, the invention provides a convenient method for assessing whether any particular oligonucleotide constitutes an oligonucleotide according to the invention. More particularly, the invention provides a convenient method for determining whether an oligonucleotide having one or more internal internucleoside linkage that is not a phosphodiester linkage, as well as having a 3' cap structure, is resistant to in vivo degradation. The method of the invention also allows convenient assessment of bioavailability of such oligonucleotides, which is preferable in certain embodiments of the oligonucleotides of the invention. Thus the invention provides a convenient method for assessing, without undue experimentation, whether a particular oligonucleotide possesses characteristics that make it desirable for use in therapeutic approaches involving antisense oligonucleotides.
In this aspect, the invention utilizes methods known in the art for synthesis of radioactively labelled oligonucleotides having one or more internal internucleoside linkage that is not a phosphodiester linkage, as well as having a cap structure attached to the 3' end. Such oligonucleotides are administered to mice in a physiologically acceptable carrier by either intravenous or intraperitoneal injection. After an appropriate interval, urine is collected from the treated mouse and the status of the oligonucleotides present therein is determined by PAGE and autoradiography. Bioavailability is determined by homogenization of organs and measurement of radioactivity therein. Finally, status of oligonucleotides in various organs is determined by extraction of the oligonucleotides from the homogenized organ tissues, followed by analysis using PAGE and autoradiography.
The invention further provides an even simpler assay which provides some preliminary information about oligonucleotide stability. This assay involves incubation of the oligonucleotides in the presence of monkey serum, followed by extraction of the oligonucleotides and analysis of degradation using PAGE and autoradiography.
The following examples are provided to further illustrate aspects of the invention and are not limiting in nature.
Examole 1 Synthesis of Oligonucleoside Phosphorothioates Oligonucleoside phosphorothioates were synthesized on a Model 8700 automated synthesizer (Milligen-Biosearch, Burlington, MA) using H- phosphonate chemistry on controlled pore glass (CPG), followed by oxidation with 0.2M sulfur in carbon disulfide/pyridine/triethylamine (9:9:1, v/v). Synthesis was carried out on a 5x10 micromolar scale. Oligonucleoside phosphorothioates were purified by low pressure ion exchange chromatography (DEAE-celluIose, DE-50 Whatman), followed by reverse phase chromatography (C18) and dialysis. A detailed description of the H- phosphonate approach to synthesizing oligonucleoside phosphorothioates is given in Agrawal and Tang, Tetrahedron Letters 3 .: 7541-7544 (1990). In addition, synthesis of oligonucleoside methylphosphonates, phosphorodithioates, phosphoramidates, phosphate esters, bridged phosphoramidates and bridged phosphorothioates is known in the art. See e.g.. Agrawal and Goodchild, Tetrahedron Letters 28_: 3539 (1987); Nielsen et al., Tetrahedron Letters 29: 2911 (1988); Jager et al., Biochemistry 27: 7237 (1988);Uznanski etal., Tetrahedron Letters 28: 3401 (1987); Bannwarth, Helv. Chim. Acta 71; 1517 (1988); Crosstick and Vyle, Tetrahedron Letters 30: 4693 (1989); Agrawal et al., Proc. Natl. Acad. Sci. USA 87: 1401-1405 (1990).
Example 2 Synthesis of Capped Oligonucleoside Phosphorothioates 5'-capped oligonucleoside phosphorothioates were prepared by carrying out the last coupling, after the assembly of the required sequence, with N-Fmoc-O'-DMTr-3-amino-l,2-propanediol-H-phosphonate. The 5'- capped oligonucleoside H-phosphonate was then oxidized with sulfur. 3'- capped oligonucleoside phosphorothioates were assembled on N-Fmoc-O'- DMTr-3-amino-l,2-propanediol-CPG, followed by sulfur oxidation. Combination of these procedures was used to produce 3',5'-capped oligonucleoside phosphorothioates. See Figure 1.
Alternatively, oligonucleoside phosphorothioates having other 3' or 5' cap structures, (see, e.g.. Figure 2), are prepared by substituting the phosphonate or CPG-derivatized cap structures for the N-Fmoc-O'-DMTr-3- amino-l,2-propanedioI-H phosphonate or CPG in the capping procedure. Similarly, capped, modified oligonucleotides other than oligonucleoside phosphorothioates are prepared in an analogous manner by appending the capping procedure to the appropriate synthetic procedure.
Examole 3
Preparation of 35S-labelled Oligonucleoside Phosphorothioate
Five milligrams of CPG-bound oligonucleoside H-phosphonate was oxidized with a mixture of 35Sg (5mCi, ICi/mg, Amersham, Arlington Heights, Illinois) in 40 microlitres carbon disulf ide/pyridine/triethylamine
(9:9:1). After 30 minutes, 100 microlitres cold S8 in the same solvent mixture was added and the reaction was allowed to continue for 60 minutes. The solution was removed and the support was washed three times with 500 microlitres carbon disulf ide and three times with 700 microlitres acetonitrile. The product was deprotected in concentrated ammonia at 55°C for 14 hours, evaporated, and desalted using Sep paK™ C18 column (Waters, Milf ord, MA).
The resultant product was purified by PAGE (20% polyacrylamide, 7M urea).
The appropriate band was cut under UV shadowing, extracted from the gel and desalted. Yield was five A260 units or 150 micrograms. Specific activity was 5xl09 cpm/micromole or 440 nanocuries/microgram.
Other modified oligonucleotides can be labelled according to standard procedures, using 3H or 14C as label.
Example 4 Assessment of Oligonucleotide Stability in Monkey Plasma
Eighty micrograms at 35S-labelled oligonucleoside phosphorothioate (capped or uncapped, specific activity 1.3 mCi/mg) was incubated with 50 microlitres monkey serum at 37°C. Aliquots were removed at time points and treated with proteinase K, (2 mg/ml, final concentration) in 0.5% SDS, lOmM NaCl, 20mM Tris-»C1 (pH 7.6), lOmM. EDTA for one hour at 37°C, followed by phenol-chloroform extraction and ethanol precipitation. Recovered oligonucleotides were then analyzed by PAGE (20% polyacrylamide/7M urea) followed by autoradiography.
Results are shown in Figure 3. Uncapped and 5'-capped oligonucleoside phosphorothioates were degraded extensively within 24 hours. In contrast, 3'-capped and 3',5'-capped oligonucleoside phosphorothioates were stable after 24 hours. This indicates that degradation in monkey serum is primarily due to 3' exonucleases. Ladder formation indicates absence of significant levels of endonucleolytic activity. When 3H or 14C-labelled oligonucleotides are used, autoradiography is carried out through the use of an appropriate enhancing f luorophore.
Example 5 In Vivo Oligonucleotide Stability Assessed by Urinary Analysis Male CDC2F1 mice (average weight 20 grams) were treated by intravenous or intraperitoneal injection with a 30 mg/kg dose of oligonucleotides dissolved in 200 microlitres physiological saline. Each capped or uncapped oligonucleotide was administered to three mice. Urine was collected separately from each animal up to 24 hours post-dosing, then extracted with as in Example 4, and analyzed for radioactivity. Radioactivity was also measured from cage rinse to account for urine spill. Analysis was by PAGE (20% polyacrylamide, 7M urea) followed by autoradiography. The results are shown in Table 1 below.
Twenty-four hours after dosing, about 30% of oligonucleoside phosphorothioates were excreted, whether capped or uncapped. Excreted uncapped and 5'-capped oligonucleoside phosphorothioates were extensively degraded, as shown in Figure 4. Excreted 3'-capped and 3',5'-capped oligonucleoside phosphorothioates, in contrast, demonstrated virtually no degradation. This indicates that in vivo degradation of oligonucleoside phosphorothioates excreted in urine is mediated by 3'-exonuclease activity which can be inhibited by adding a cap to the 3' hydroxyl group of the oligonucleotide.
Table 1 URINARY EXCRETION OF OLIGONUCLEOTIDES IN MICE* Intraven us Administration
Example 6 Biodistribution of Oligonucleotides Following the urinary oligonucleotide analysis of Example 5, the animals were sacrificed and autopsied, and all organs were removed. Each organ type was homogenized, lysed in buffer and assayed for radioactivity. Biodistribution of oligonucleotides is shown in Table 2 below. All types of capped and uncapped oligonucleoside phosphorothioates tested were bioavailable in most of the tissues of the organs 24 hours post-dosing. The concentration of oligonucleoside phosphorothioate in each tissue was independent of the presence, absence, or location of capping. Oligonucleotide concentration was highest in kidney, although total mass of oligonucleotide was highest in liver.
TABLE 2
TISSUE LEVELS OF OLIGONUCLEOTIDES IN MICE (24-HR POST-DOSING)*
(μg equivalents of oligonucleotide/gram of tissue)
*30 mg oligonucleotide/kg body weight, intravenously.
Example 7 Status of Oligonucleotides in Organs Homogenized kidney or tissue from Example 6 was treated with proteinase K (2 mg/ml final concentration) in extraction buffer (0.5% SDS, 10 mM NaCl, 20mM Tris*HCl pH 7.6, 10mM EDTA) for two hours at 37°C.
Samples were then extracted twice with phenol-chloroform and once with chloroform, followed by ethanol precipitation. Recovered oligonucleotides were fractionated by PAGE (20% polyacrylamide, 7M urea). The gel was then fixed in 10% acetic acid, 10% methanol and subjected to autoradiography. The results are shown for kidney in Figure 5. Uncapped oligonucleoside phosphorothioate extracted from kidney tissue was degraded to about 50%, and slower migrating bands (2-23 nucleotides in length) were also detected. Thus both degradation and extension of uncapped oligonucleoside phosphotothioates occurs in kidney. 5'-capped oligonucleoside phosphorothioates produced substantially identical results.
In contrast, the great majority of bioavailable oligonucleotide was undegraded when either 3'-capped or 3',5'-capped oligonucleoside was used, and neither showed any sign of extension. Similar results were obtained for liver, as shown in Figure 6. No extension of 3' or 3\5'-capped oligonucleoside phosphorothioate was observed in small intestine either.